کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4285836 1611975 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Tourniquet use during total knee arthroplasty does not offer significant benefit: A retrospective cohort study
ترجمه فارسی عنوان
استفاده از تورنیکت در طی آرتروپلاستی کامل زانو مزیت قابل توجهی ندارد: مطالعه کوهورت گذشته نگر
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی


• Tourniquets are routinely employed during total knee arthroplasty; however, their use remains controversial.
• Thus, the routine use of tourniquets during knee arthroplasty may need to be reconsidered.
• Tourniquet use provided no overall benefit.

IntroductionTourniquets are routinely employed during total knee arthroplasty; however, their use remains controversial.MethodsThis study investigates the efficacy and safety of this practice. A retrospective analysis of 186 patients was performed to assess benefits and/or risks associated with tourniquet use during knee arthroplasty. Total knee arthroplasty was performed using the Biomet Vanguard® PCL Prosthesis (Biomet, Warsaw, IN, USA). In total, 126 patients who had undergone total knee arthroplasty were included in our final analysis.ResultsPatients with tourniquets had significantly less intraoperative blood loss than patients without (P < .001); patients without tourniquets required more blood transfusions (P = .551), and had significantly longer surgical times (P = .011). However, patients with tourniquets had more postoperative blood loss (P < .001), longer hospital stays (P = .013), and more frequent complications (P = .571). Blood transfusion requirement was significantly associated with complications (P < .001).ConclusionsTourniquet use provided no overall benefit.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery - Volume 18, June 2015, Pages 123–127
نویسندگان
, , , , , ,